The Use of the Harmonic Scalpel vs Conventional Knot Tying for Vessel Ligation in Thyroid Surgery

Siperstein, Allan; Berber, Eren; Morkoyun, Ebru

doi:10.1001/archsurg.137.2.137

Cited by 201 publications

(194 citation statements)

References 24 publications

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“…HS has been proven to be a safe and useful device in open and video-assisted cervical surgery (28)(29)(30)(31)(32)(33)(34). Compared with the standard electric scalpel, HS leads to a shorter surgical time, less lateral thermal spread, and no smoke and no electric energy passage through the body of the patient (35,36).…”

Section: Discussionmentioning

confidence: 99%

Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis

Upadhyaya

Meng

et al. 2016

Biomedical Reports

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Section: Discussionmentioning

confidence: 99%

Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis

Upadhyaya

Meng

et al. 2016

Biomedical Reports

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“…[3][4][5][6][7] The LigaSure vessel sealing system, developed by Valleylab (Boulder, CO, USA), is a hemostatic method offering a consistent permanent autologous seal to veins, arteries, and tissue bundles of up to 7 mm in diameter. It consists of an electrosurgical generator and a handpiece with a ratcheted scissor mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…1 However, the use of electrocoagulation to control bleeding carries a risk of damage to the surrounding structures because of the lateral heat dispersion. 2 Recently, several alternative methods of hemostasis, such as the harmonic scalpel and laser techniques, have been tested in thyroid surgery with encouraging results, [3][4][5][6] but few reports have been published on LigaSure in this fi eld.…”

Section: Introductionmentioning

confidence: 99%

LigaSure in total thyroidectomy

et al. 2008

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Purpose. LigaSure is a bipolar diathermy system, which achieves vessel sealing with reduced thermal spread. The device has been used successfully in abdominal operations and because of its features, it has been applied recently in thyroid surgery to minimize the risk of complications such as laryngeal nerve palsy and hypocalcemia, and also to reduce the operating time. Methods. Between June and December 2005, we performed total thyroidectomy for various disorders in 105 patients. We used the LigaSure diathermy system in 53 patients and traditional hemostatic procedures in the other 52. We evaluated the demographic features, histopathological diagnosis, operating times, and relevant postoperative complications. Results. The two study groups had similar demographic and histopathological features. The mean operating time ± SD was not signifi cantly shorter in the LigaSure group than in the traditional group (104 ± 12.7 vs 110 ± 15.6 min). None of the patients in either group suffered hemorrhage, defi nitive hypocalcemia, or defi nitive laryngeal nerve palsy. Transient hypocalcemia and transient laryngeal nerve palsy developed in 7.54% and in 1.88%, respectively, of the patients in the LigaSure group, and in 7.69% and 1.92%, respectively, of the patients in the traditional group; these differences were not signifi cant. Conclusions. LigaSure is a safe and effective method of hemostasis control, but it did not reduce the incidence of complications or operating times compared with traditional hemostatic procedures; moreover, the operative costs were higher.

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“…Siperstein et al [4] in 2002in their study the mean operative time was shorter in the harmonic scalpel group compared with the conventional technique group for both lobectomy (89±20 minutes vs. 115±25 minutes; P<.01) and total thyroidectomy (132±39 minutes vs. 161±42 minutes; P<.01) procedures.…”

Section: Discussionmentioning

confidence: 89%

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

Govindaraj

Meti

Ravikiran

2015

Int Jour of Biomed Res

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Aim: To present our experience with use of bipolar cautery in thyroid surgery. Methods and materials:The study was done between August2011-August2013. Study included all patients undergoing thyroid surgeries for various benign and malignant conditions of thyroid. This study included all age group and both gender. Vascular pedicles were cauterized using conventional bipolar cautery without knot tying. Postoperative outcomes were analyzed. Results: Out of 108 cases, 41 male (37.96%), 67 female (62.04%) patients. M:F 1:1.6. 50(46.29%) cases were malignant and 58(53.70%) benign. Among carcinoma thyroid 56% are papillary, 30% follicular, 10% anaplastic and 4% medullary.52 (48.14%) cases undergone total thyroidectomy, 34(31.48%) lobectomy, 22(20.37%) total thyroidectomy with functional neck dissection. Mean operating time for lobectomy was 20min; total thyroidectomy 35min, total thyroidectomy with functional neck dissection was 90min. Postoperative complications were observed in 11(10.18%) cases. No case of severe bleeding which required re-exploration. 2 (1.85%) surgical site infections. 2(1.85%) cases of unilateral recurrent laryngeal nerve injuries have occurred. Hypoparathyroidism seen in 4(3.7%) cases; 3 transient, 1 permanent due to infiltration by anaplastic carcinoma. Conclusion: Use of conventional bipolar cautery is safe, effective and time saving in thyroid surgeries.

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The Use of the Harmonic Scalpel vs Conventional Knot Tying for Vessel Ligation in Thyroid Surgery

Cited by 201 publications

References 24 publications

Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis

Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis

LigaSure in total thyroidectomy

A Study of use of bipolar cautery in thyroidectomy for coagulating vascular pedicles instead of conventional ligation

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